Individual Membership Registration


Modern Language Teachers' Association of Victoria, Inc.

ABN 45 204 209 974

TAX INVOICE


Individual Membership Registration

Click here if you are already a member of MLTAV

Memberships are valid from 1 Jan - 31 Dec each calendar year, regardless of join date

Individual (Early Bird) - $128 (incl. GST)  
paid by 31 March 2020  		 
Individual Concession - $67 (incl. GST)  
 		 
 
Please enter a user name to create an account . If you already have an account, please login before completing this form.
Please complete the following Individual Membership information

If a current member introduces a new financial member (who was not a financial member in the last 3 years) to the MLTAV, the current member will go into the draw for a $250 restaurant voucher.
 (clear)

Publications will be posted to this address

For multiple selections shift-click (PC) or command-click (MAC).
 
Select 'Yes' if you agree to your name and email address being added to the AFMLTA Communications List.
Credit Card Information
Enter numbers only, no spaces or dashes.
Security Code Location on Credit Card
Usually the last 3-4 digits in the signature area on the back of the card.
 
Billing Name and Address
Billing information is same as above

Enter the name as shown on your credit or debit card, and the billing address for this card.

Thank You